2019 Community Grants Program
2019 Community Grants Acquittal Form
Application 2019CGP083 From Altona Lacrosse Club
Form Submitted 22 Nov 2019, 1:35pm AEDT
 
  Contact details
* indicates a required field

Completion details

Acquittal forms are required to be submitted by Wednesday 11th December

2019. Please contact the Community Grants Officer on 9932 1235 or email
commdev@hobsonsbay.vic.gov.au if an extension is required.
To be eligible for future funding from Council, groups/organisations need to
ensure to acquit all previous grants and attach receipts (unpaid invoices are not
acceptable) for purchases of items/expenses over $100.

Grant category - this will automatically populate from your application form *
◉  Toyota Equipment/Resources Grant
◯  Vibrant Community Project Grant
◯  Invested Together Grant
This is the category for which the organisation/group received funding. Please note, the invested
together grant is the 2 year partnership grant.

Organisation Details

Organisation Name *
Altona Lacrosse Club

Project Title *
Lacrosse goal replacement 

Contact details of person completing report

Name of person completing the Acquittal/Status Report *

Mr  James  Bleed 

Position *
Committee member 

Phone Number *
0413 554 776 
Must be an Australian phone number. Please include prefix, e.g 03

Mobile
0413554776 

Email *
jimbleed@hotmail.com  
Must be an email address

Acquittal report - for completed projects

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2019 Community Grants Program
2019 Community Grants Acquittal Form
Application 2019CGP083 From Altona Lacrosse Club
Form Submitted 22 Nov 2019, 1:35pm AEDT
 
  * indicates a required field

NB: Please also answer the below questions for the Toyota Equipment Grant. The word
project can be considered the equipment purchase.

How successful has the project been? Please describe. *

The project has been very successful and the grant funding has helped us to purchase new
and safer sporting equipment.
Must be no more than 150 words. For Toyota Equipment Grants, consider the group's equipment
purchase.

Describe the planned activities that have taken place. List activities, number of e
vent/s and location/s. *
The goals have been used throughout the 16 game seasons for Under 11s, Under 13s, Under
17s, and senior women’s and men’s teams. Additionally the equipment was used to host the
first round of the 2019 Victorian Lacrosse finals.
Must be no more than 150 words

Were any changes required throughout the project? Please note examples. *
Project budget increased as costs for nets and goals was more than expected. The lacrosse
club covered the increased costs.
Must be no more than 150 words

Describe 3 key outcomes of the project that made a difference in the community.
*
1. Altona Lacrosse club successfully hosted the largest final round of 2019 and highlighted
the facilities available in Hobsons Bay.
2. Safety of players was improved as newer goals have improved safety features from the
older style goals.
3. Goals were easier to bring in and out and speed up getting the fields ready. This
increased involvement as it was easier to find volunteers.
Must be no more than 150 words

What did you learn along the way? List any issues, feedback from participants an
d ideas for the future. *
The project was pretty straight forward and a reminder of the valuable support provided to
our club through the grant process.
(Must be no more than 150 words)

Attach photographs and/or promotional materials

No files have been uploaded

List date of event, photograph description and name people in the photograph
Please only include photos of people who have provided consent. These photos may be used to
promote the grants program.

How many Hobsons Bay residents participated in the project? *

75 
Must be a number.

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2019 Community Grants Program
2019 Community Grants Acquittal Form
Application 2019CGP083 From Altona Lacrosse Club
Form Submitted 22 Nov 2019, 1:35pm AEDT
 
  What was the predominant gender of the participants? *
◯  All
◉  Men
◯  Women
◯  Diverse Gender Identity
Choose one box only.

Tick the communities who participated in the Project. *

☑  Children ☑  General community
☑  Youth ☐  People with mental health issues
☐  Seniors ☐  Low socio economic communities
☐  Culturally and Linguistically Diverse ☐  Newly arrived communities
communities
☐  Aboriginal and Torres Strait Islander ☐  Volunteers
☐  People with disability ☐  LGBTIQA+
☐  Families ☐  Other: 

How many volunteers were involved in the project? *

6 
Must be a number.

How many hours did volunteers spend organising and running the project? *
20 
Must be a number.

Financial - completed projects

* indicates a required field

Grant

Has the total grant amount been expended? *

◉  Yes
◯  No - if the total funds have not been expended please do not submit this report. Read
below for further instructions.
If the total grant has not been expended an email must be sent to commdev@hobsonsbay.vic.gov.au
requesting permission for an extension to the project or a cheque written returning the unspent funds.
An extension date can be granted for this acquittal report if funds have not been fully spent by the end
of December 2019

What was the funding amount received from Hobsons Bay? *

$1,000.00 
Must be a dollar amount.

What was the total cost of the Project? *

$3,000.00 
Must be a dollar amount.
The Project cost will usually be more than the grant amount allocated.

Budget

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2019 Community Grants Program
2019 Community Grants Acquittal Form
Application 2019CGP083 From Altona Lacrosse Club
Form Submitted 22 Nov 2019, 1:35pm AEDT
 
  Please refer to your application and letter of offer as a reference to what
expenditure was approved.
Provide a description of the item/s and amounts funding was approved in the
table below. Single item purchases over $100 require a receipt (invoices are
not acceptable, proof of payment is required). If you are grouping an item, for
example tea/coffee/biscuits totalling $150, please state in brackets separate
purchases under $100 and only provide receipts for items purchased over $100.
See example below.
Expenditure Tea/coffee/biscuits (10 weeks x $15 per week - separate purchases
under $100) $150.00
Catering (8 weeks x $50 per week - separate purchases under $100) $400.00

Expenditure (Items funding was provide Cost $

d for)
Nets for goals  $2,000.00 
   
   
   
   
   
   
   
  Total: $2,000.00

Proof of Expenditure (only for items over $100)

To be eligible for future funding from Council, groups/organisations must attach all receipts
(unpaid invoices are not acceptable) for purchases of items/expenses over $100 are
attached.
If receipts are not available, groups/organisations must contact Council's Community Grants
Officer or 9932 1235 or email commdev@hobsonsbay.vic.gov.au

Attach copies of receipts of goods or services purchased with grant funds over $1
00.

Filename: ESale.pdf
File size: 16.9 kB
Max 25mb.

Certification
* indicates a required field

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2019 Community Grants Program
2019 Community Grants Acquittal Form
Application 2019CGP083 From Altona Lacrosse Club
Form Submitted 22 Nov 2019, 1:35pm AEDT
 
  I certify that the information and attachments within this report are a true and accurate
record of the distribution of the grant funds received and the progress/success of the funded
project.
I am authorised to complete this acquittal form.

I agree *
◉ Yes   ◯ No  

Name *
Mr  James  Bleed 

Position *
Committee Member 

Date *
22/11/2019 
Must be a date

Privacy Notice

In compliance with the Information Privacy Act 2009 (the Act) personal information on this
form may be stored in Hobsons Bay City Council’s records database and may also be used
for statistical research, information provision and evaluation of services. Your personal
information may be provided to the financial institution which handles Hobsons Bay City
Council financial transactions and may be disclosed to other agencies and third parties for
purposes related to this application and/or monitoring compliance with the Act. Except in
these circumstances, personal information will only be disclosed to third parties with your
consent unless otherwise required or authorised by law.

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